In Texas, Property Taxes are paid to individual districts (county, school, city, fire, road, hospital, sanitation, etc.) Dallas County has a Parkland Hospital District which taxes separately. Other than school taxes, it was the next largest property tax I had to pay this year.
Some states, like Texas and Missouri, tax each district individually. Almost all other states have these taxes built into one consolidated tax rate that is then distributed to individual city, town, school, special district. It is just not as apparent in states like Florida or the Carolinas. Keeping track of all property taxing jurisdictions across the nation is part of what I do at the company where I work.
And yes, one reason that taxes are high in Texas is because there is no income tax. And we are able to see exactly where our tax dollars are going.
calif used to have hospital districts too